Private Sector Participation in Child Health : A Review of World Bank Projects, 1993-2002

There is an increasing amount of evidence to support the view that the private sector significantly influences child health and nutrition outcomes through both service provision and supply of health related goods. In this context, this paper analyzes World Bank projects in Health, Nutrition and Population between fiscal years 1993-2002. The paper identifies the range of approaches taken to involve the private sector in improving child health outcomes; the actors involved; the type of activities supported by the projects; and examples of successful private sector participation. The paper's concludes: As measured by the proportion of projects (more than 50 perccent) that involved the private sector in child health, private sector participation was significant. As measured by the magnitude of involvement (budget amounts and stated project objectives), the degree of private sector participation was relatively small for most projects. Since most projects did not mention a systematic assessment of potential and opportunities to engage the private sector, it was difficult to assess whether or not engagement of the private sector was intentional. It was not possible to analyze how and if private sector participation resulted in better health for children, as private sector monitoring indicators measured process and not outcomes. The paper recommends: Encourage engagement of the private sector in World Bank projects addressing child health outcomes. Increase support to World Bank staff and its clients, for example through manuals or toolkits and field demonstrations of successful strategies to engage the private sector in child health programs. Conduct systematic assessments of the potential of the private sector to contribute to improved child health programs. Develop indicators that can measure which approaches lead from private sector engagement to better health for children. Incorporate mechanisms, such as health insurance, risk sharing, subsidies and targeted public health expenditures, to protect the poor and ensure that they are not further impoverished due to payments for health care services.

Bibliographic Details

Main Authors:	Axelsson, Henrik, Bustreo, Flavia, Harding, April
Language:	English en_US
Published:	World Bank, Washington, DC 2003-05
Subjects:	CHILD HEALTH SERVICES, CHILD HEALTH OUTCOMES, PRIVATE SECTOR PARTICIPATION, NONPROFIT ORGANIZATION, CONTRACTING, SOCIAL MARKETING, HEALTH REGULATIONS, FRANCHISING, INFORMATION DISSEMINATION, TRAINING, ADVOCACY, BEHAVIORAL CHANGE, COMMUNICATION, COMMUNITY FINANCING, SOCIAL SAFETY NETS, NONGOVERNMENTAL ORGANIZATIONS, PUBLIC AWARENESS, BASIC HEALTH CARE, HEALTH SERVICES DELIVERY, CHILD MALNUTRITION AGRICULTURE, BASIC HEALTH SERVICES, COMMUNICABLE DISEASES, COMMUNITY HEALTH, COMMUNITY PARTICIPATION, DOCTORS, ECONOMICS, EMPLOYMENT, EQUIPMENT, EXTENSION, FAMILIES, FOOD INDUSTRY, HEALTH, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE SERVICES, HEALTH EXPENDITURE, HEALTH INDICATORS, HEALTH INSURANCE, HEALTH INTERVENTIONS, HEALTH OUTCOMES, HEALTH POLICY, HEALTH PROGRAMS, HEALTH PROJECTS, HEALTH PROMOTION, HEALTH SECTOR, HEALTH STATUS, HEALTH WORKERS, IMMUNIZATION, INFANT MORTALITY, INFANT MORTALITY RATE, INTERVENTION, MALARIA, MALNUTRITION, MANAGERS, MARKETING, MASS MEDIA, MEASLES, MORTALITY, NGOS, NUTRITION, NUTRITIONAL STATUS, PARTNERSHIP, PREVENTIVE HEALTH SERVICES, PRIMARY CARE, PRIVATE SECTOR, PROFESSIONAL ORGANIZATIONS, PUBLIC HEALTH, PUBLIC HEALTH EXPENDITURES, PUBLIC SECTOR, RISK SHARING, RURAL AREAS, SECTOR, SOCIAL INSURANCE, WORKERS,
Online Access:	http://documents.worldbank.org/curated/en/2003/05/3424179/private-sector-participation-child-health-review-world-bank-projects-1993-2002 https://hdl.handle.net/10986/13793
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